Why Newborn Resuscitation Devices are Important
A large proportion of neonatal deaths can be prevented with the appropriate care and available commodities and products. Effective neonatal resuscitation includes immediate care with thorough drying, suction, stimulation, and positive-pressure ventilation in cases when the newborn is not breathing on their own. (2) Neonatal resuscitators are an essential medical device to save newborns from asphyxia at birth and one of 13 products included in the United Nations Commission on Life-Saving Commodities, given their role to end preventable deaths in newborns.
Manual Suction Bulbs are small, portable hand-held devices designed to suck gently and clear excessive mucus from the nose or mouth of a newborn to facilitate easier breathing, and are either single use (disposable) or multi-use).
Hand or foot-operated suction machines. In these devices, the vacuum effect is generated by human power, either by foot or by hand, but have the other components in common with electrical devices.
Devices for Positive Pressure Ventilation
Key Considerations when Selecting Newborn Resuscitation Devices
- Suction safety. Safe ranges for neonatal suctioning depending on the size of the infant and are generally considered to be between 60-100mmHg.
- Bag with Mask Devices. Should have a bag size of 300-320L and masks of different sizes (0 for pre-term and low birth weight, and 1 for term infants) and a valve to maintain pressure or prevent exceeding a maximum pressure in range of 3kPa (30cmH20) -4.5 kPa (45 cmH20)
- Oxygen Source. Some T-piece devices may have an integrated blender, but if there are no oxygen sources available, the self-inflating bag may be most appropriate for settings that have very limited resources.
- Achieving Peak Inflation Pressure (PIP) and Positive End-Expiratory Pressure (PEEP) at 30/5 cm H20 with reducing percentage leak at the face mask with consistency and accuracy can be achieved with all 3 types, but may require different levels of training and practice. (4)
- Reprocessing and cleaning of reusable devices. When using reusable devices, it is important to adhere to infection prevention control (IPC) and manufacturing guidelines for pre-cleaning, disassembly, cleaning, sterilization, reassembly and storage to ensure clinical safety and duration of the device.
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References and Acknowledgments